NPI | 1598832131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008127) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8444) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2013-11-27 |